Company   Membership is by company, not individual

Indicate whether Corporation, Proprietorship or Partnership. If Corporation, indicate when incorporated

Regular Membership

Customs Broker License #

Freight Forwarder, OTI #

Affiliate Membership

Business Service

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Number of years your firm has been in business:

Telephone:

FAX:

E-Mail Address:
Baltimore Address:

Indicate if your firm is only located in Baltimore.  If located in other cities other than Baltimore, indicate those locations:

Sponsorship by: (Name of Member Company):

Your name, as representative of the applicant:

To receive an e-mailed copy of the By-Laws, check here

Please remit $100.00 for regular members, $150.00 for affiliate members for the initial membership fee with a hard copy of this format.  The sponsor and the representative of the applicant should sign the "hard copy" submitted with the fee.

Sponsor's Signature: _________________________________________________________

Applicant's Signature: ________________________________________________________

BCBFA

P.O. Box 28893

Baltimore, MD 21240

 

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Copyright © 2001 [Baltimore Customs Brokers and Forwarders Association, Inc.]. All rights reserved.
Revised: June 27, 2008